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Consult Request Guidelines
for Refractory Angina
Refractory Angina
Suggested Pre-Referral Evaluation and Management Guidelines
Symptoms include daily chest pain with maximum medical therapy and no further interventions planned including
-CABG
-PTCA
-Medical Management
Suggested Additional Test/Management Prior to Specialty Visit
Copies of any investigation
ECHO, Stress Test, and Cardiac Catheter Relevant past medical history
Referral to
U of M Back & Pain Center
Patient Education/Information (includes preps)
U of M Back & Pain Center
Appointment Timeframe
Within one week
How to Get Results to Consultant
UMHS Patients: See MiChart
External Patients: Hand carry non-UM records to visit or fax to 734-936-6585
Clinic Contact Information
Physicians: 800-962-3555
Patient: 734-615-7246
Clinic Location Sites
Brighton Health Center
Burlington Building
Canton Health Center
Dexter
East Ann Arbor
UM Consulting Physician
U of M Back & Pain Center Faculty
Revised on:
10/01/2012